| NPI | 1265859946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BOYNTON President 757-288-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004822) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |